Individual
LARRY IVAN CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
780 E OGLETHORPE HWY, HINESVILLE, GA 31313-2808
(912) 385-0801
Mailing address
900 MOHAWK STREET, STE E., SAVANNAH, GA 31419
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005306
GA
363A00000X
Physician Assistant
Primary
005306
—
Other
Enumeration date
05/12/2008
Last updated
09/28/2021
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